Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $21.88	Facility		$10.00	$12.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $38.90	Professional		$10.00	$15.14	$38.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.12 / $44.67 / $44.67	Professional	25	$25.12	$44.67	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $25.70	Professional		$12.59	$16.98	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $23.44	Professional		$11.75	$15.14	$23.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $30.20	Professional		$14.79	$19.50	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $19.50	Facility		$11.75	$14.45	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $30.20	Professional		$14.13	$15.85	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $32.36	Professional		$13.49	$18.20	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $33.11	Professional		$13.49	$18.62	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $32.36 / $33.11	Professional		$11.48	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $25.12	Professional		$11.48	$17.38	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $23.99	Professional		$10.96	$15.14	$23.99